Individual provider · Type 1 NPI
Jocelyn Nicole Wilson, SUDRC 14271
Addiction (Substance Use Disorder) Counselor · Stockton, CA
NPI number
1386357739
Active
Practice location
1981 Cherokee Rd.
Stockton, CA 95205
Mailing address
P.o. Box 5070
Stockton, CA 95205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 39007BNA (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386357739
Jocelyn Nicole Wilson, SUDRC 14271's National Provider Identifier is 1386357739, issued on Dec 30, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Nov 26, 2024.